Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979889504> ?p ?o ?g. }
- W2979889504 endingPage "603" @default.
- W2979889504 startingPage "596" @default.
- W2979889504 abstract "Air medical transport of trauma patients from the scene of injury plays a critical role in the delivery of severely injured patients to trauma centers. Over-triage of patients to trauma centers reduces the system efficiency and jeopardizes safety of air medical crews.The objective of this study was to determine which triage factors utilized by Emergency Medical Services (EMS) providers are strong predictors of early discharge for trauma patients transported by helicopter to a trauma center.A retrospective chart review over a two-year period was performed for trauma patients flown from the injury site into a Level I trauma center by an air medical transport program. Demographic and clinical data were collected on each patient. Prehospital factors such as Glasgow Coma Score (GCS), Revised Trauma Score (RTS), intubation status, mechanism of injury, anatomic injuries, physiologic parameters, and any combinations of these factors were investigated to determine which triage criteria accurately predicted early discharge. Hospital factors such as Injury Severity Score (ISS), length-of-stay (LOS), survival, and emergency department disposition were also collected. Early discharge was defined as a hospital stay of less than 24 hours in a patient who survives their injuries. A more stringent definition of appropriate triage was defined as a patient with in-hospital death, an ISS >15, those taken to the operating room (OR) or intensive care unit (ICU), or those receiving blood products. Those patients who failed to meet these criteria were also used to determine over-triage rates.An overall early discharge rate of 35% was found among the study population. Furthermore, when the more stringent definition was applied, over-triage rates were as high as 85%. Positive predictive values indicated that patients who met at least one anatomic and physiologic criteria were appropriately transported by helicopter as 94% of these patients had stays longer than 24 hours. No other criteria or combination of criteria had a high predictive value for early discharge.No individual triage criteria or combination of criteria examined demonstrated the ability to uniformly predict an early discharge. Although helicopter transport and subsequent hospital care is costly and resource consuming, it appears that a significant number of patients will be discharged within 24 hours of their transport to a trauma center. Future studies must determine the impact of eliminating low-yield triage criteria on under-triage of scene trauma patients." @default.
- W2979889504 created "2019-10-18" @default.
- W2979889504 creator A5068059585 @default.
- W2979889504 creator A5077703981 @default.
- W2979889504 creator A5091569659 @default.
- W2979889504 date "2019-10-10" @default.
- W2979889504 modified "2023-09-26" @default.
- W2979889504 title "Are there Field Triage Criteria that Can Predict Low-Yield Air Medical Transports?" @default.
- W2979889504 cites W1510908077 @default.
- W2979889504 cites W1973790855 @default.
- W2979889504 cites W1978310827 @default.
- W2979889504 cites W1988501151 @default.
- W2979889504 cites W2007404389 @default.
- W2979889504 cites W2007774024 @default.
- W2979889504 cites W2008021574 @default.
- W2979889504 cites W2011864018 @default.
- W2979889504 cites W2017810781 @default.
- W2979889504 cites W2020036254 @default.
- W2979889504 cites W2024042320 @default.
- W2979889504 cites W2034072713 @default.
- W2979889504 cites W2060583491 @default.
- W2979889504 cites W2060938508 @default.
- W2979889504 cites W2064579809 @default.
- W2979889504 cites W2072488643 @default.
- W2979889504 cites W2073830419 @default.
- W2979889504 cites W2082194006 @default.
- W2979889504 cites W2082799013 @default.
- W2979889504 cites W2085259960 @default.
- W2979889504 cites W2127962530 @default.
- W2979889504 cites W2131671794 @default.
- W2979889504 cites W2132814098 @default.
- W2979889504 cites W2135773805 @default.
- W2979889504 cites W2140824353 @default.
- W2979889504 cites W2165766245 @default.
- W2979889504 cites W2188994078 @default.
- W2979889504 cites W2558040102 @default.
- W2979889504 cites W2732766592 @default.
- W2979889504 cites W2790916527 @default.
- W2979889504 doi "https://doi.org/10.1017/s1049023x19004904" @default.
- W2979889504 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31599215" @default.
- W2979889504 hasPublicationYear "2019" @default.
- W2979889504 type Work @default.
- W2979889504 sameAs 2979889504 @default.
- W2979889504 citedByCount "2" @default.
- W2979889504 countsByYear W29798895042021 @default.
- W2979889504 countsByYear W29798895042022 @default.
- W2979889504 crossrefType "journal-article" @default.
- W2979889504 hasAuthorship W2979889504A5068059585 @default.
- W2979889504 hasAuthorship W2979889504A5077703981 @default.
- W2979889504 hasAuthorship W2979889504A5091569659 @default.
- W2979889504 hasConcept C141071460 @default.
- W2979889504 hasConcept C159110408 @default.
- W2979889504 hasConcept C167135981 @default.
- W2979889504 hasConcept C17624336 @default.
- W2979889504 hasConcept C177713679 @default.
- W2979889504 hasConcept C190385971 @default.
- W2979889504 hasConcept C194828623 @default.
- W2979889504 hasConcept C2776376669 @default.
- W2979889504 hasConcept C2777120189 @default.
- W2979889504 hasConcept C2777175280 @default.
- W2979889504 hasConcept C2778716859 @default.
- W2979889504 hasConcept C2780110798 @default.
- W2979889504 hasConcept C2780724011 @default.
- W2979889504 hasConcept C3017944768 @default.
- W2979889504 hasConcept C42219234 @default.
- W2979889504 hasConcept C545288138 @default.
- W2979889504 hasConcept C545542383 @default.
- W2979889504 hasConcept C71924100 @default.
- W2979889504 hasConcept C85004164 @default.
- W2979889504 hasConceptScore W2979889504C141071460 @default.
- W2979889504 hasConceptScore W2979889504C159110408 @default.
- W2979889504 hasConceptScore W2979889504C167135981 @default.
- W2979889504 hasConceptScore W2979889504C17624336 @default.
- W2979889504 hasConceptScore W2979889504C177713679 @default.
- W2979889504 hasConceptScore W2979889504C190385971 @default.
- W2979889504 hasConceptScore W2979889504C194828623 @default.
- W2979889504 hasConceptScore W2979889504C2776376669 @default.
- W2979889504 hasConceptScore W2979889504C2777120189 @default.
- W2979889504 hasConceptScore W2979889504C2777175280 @default.
- W2979889504 hasConceptScore W2979889504C2778716859 @default.
- W2979889504 hasConceptScore W2979889504C2780110798 @default.
- W2979889504 hasConceptScore W2979889504C2780724011 @default.
- W2979889504 hasConceptScore W2979889504C3017944768 @default.
- W2979889504 hasConceptScore W2979889504C42219234 @default.
- W2979889504 hasConceptScore W2979889504C545288138 @default.
- W2979889504 hasConceptScore W2979889504C545542383 @default.
- W2979889504 hasConceptScore W2979889504C71924100 @default.
- W2979889504 hasConceptScore W2979889504C85004164 @default.
- W2979889504 hasIssue "6" @default.
- W2979889504 hasLocation W29798895041 @default.
- W2979889504 hasLocation W29798895042 @default.
- W2979889504 hasOpenAccess W2979889504 @default.
- W2979889504 hasPrimaryLocation W29798895041 @default.
- W2979889504 hasRelatedWork W1981432161 @default.
- W2979889504 hasRelatedWork W2081161241 @default.
- W2979889504 hasRelatedWork W2264821109 @default.
- W2979889504 hasRelatedWork W2272805356 @default.
- W2979889504 hasRelatedWork W2305450285 @default.